Provider Demographics
NPI:1477580645
Name:DESAI, RAMESH MAGANLAL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMESH
Middle Name:MAGANLAL
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S CARLIN SPRINGS
Mailing Address - Street 2:#310
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-1086
Mailing Address - Country:US
Mailing Address - Phone:703-578-1444
Mailing Address - Fax:703-578-0788
Practice Address - Street 1:611 S CARLIN SPRINGS
Practice Address - Street 2:#310
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-1086
Practice Address - Country:US
Practice Address - Phone:703-578-1444
Practice Address - Fax:703-578-0788
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026327207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D09567Medicare UPIN
409126Medicare ID - Type Unspecified